Section 836 IAC 2-7.2-3 - Emergency medical technician-intermediate provider organization operating proceduresAuthority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC 16-31-3-20
Affected: IC 16-31-3
Sec. 3.
(a) Each emergency medical technician-intermediate provider organization shall do the following:(1) Comply with the ambulance service provider operating procedures of 836 IAC 1-2-3. The emergency medical technician-intermediate provider organization nontransport provider organization shall comply with the operating procedures listed in 836 IAC 1-1-8.(2) Establish daily equipment checklist procedures to ensure the following: (A) Electronic and mechanical equipment are in proper operating condition.(B) Emergency response vehicles are maintained in a safe operating condition at all times.(C) All required medications and intravenous fluids approved by the medical director of the emergency medical technician-intermediate provider organization and the supervising hospital are on board all nontransport emergency medical services vehicles and ambulances when used for the provision of advanced life support and available to the emergency medical technician-intermediate.(D) Equipment, medication, fluid, and supplies have not exceeded the manufacturer's specified expiration date.(b) A copy of the medication list and protocols shall be maintained by the emergency medical technician-intermediate provider organization and the supervising hospital emergency department. Any changes to the medications list shall be forwarded to the agency within thirty (30) days.(c) All medications and advanced life support supplies are to be supplied by order of the medical director. Accountability for:(4) security; of medications is subject to applicable requirements as determined by the medical director, pharmacist, and the United States Department of Justice Drug Enforcement Administration.(d) The emergency medical technician-intermediate provider organization shall ensure the following: (1) That stocking and administration of supplies and medications are limited to the Indiana emergency medical technicianintermediate curriculum. Procedures performed by the emergency medical technician-intermediate are also limited to the Indiana emergency medical technician-intermediate curriculum.(2) That all ambulances used for the provision of advanced life support contain the emergency care equipment required in 836 IAC 1-3-5, the rescue equipment required in 836 IAC 1-3-4, and communication equipment required in 836 IAC 1-4-2. The advanced life support emergency medical services vehicles shall also carry the following equipment: (A) Portable defibrillator with self-contained cardiac monitor and ECG strip writer and equipped with defibrillation pads or paddles appropriate for both adult and pediatric defibrillation. This may be the defibrillator listed in 836 IAC 1-3-5(1)(L).(B) Endotracheal intubation devices, including the following: (i) Laryngoscope with extra batteries and bulbs.(ii) Laryngoscope blades (adult and pediatric, curved and straight).(iii) Disposable endotracheal tubes, a minimum of two (2) each, sterile packaged, in sizes 3, 4, 5, 6, 7, 8, and 9 millimeters inside diameter.(C) Crystallite intravenous fluids and administration supplies approved by the medical director.(D) Medications limited to, if approved by the medical director, the following:(i) Acetylsalicylic acid (aspirin).(iv) Bronchodilator (beta 2 agonists): (AA) suggested commonly administered medications:(BB) commonly administered adjunctive medications to bronchodilator therapy:(vii) Epinephrine (1:1,000).(viii) Epinephrine (1:10,000).(xi) Lidocaine hydrochloride, two percent (2%).(xii) Amiodarone hydrochloride.(E) A current copy of advanced life support protocols shall be maintained on board the emergency medical services vehicle at all times.(F) A copy of the medication list, including quantities and concentrations approved by the medical director.(e) The emergency medical technician-intermediate provider organization shall do the following: (1) Ensure that all nontransport emergency medical services vehicles used for the provision of advanced life support meet all of the requirements in 836 IAC 2-14.(2) Follow the rigid sanitation procedures listed in 836 IAC 1-1-8.(f) All scheduled medications shall be stored in a locked container within a locked compartment. Medications storage shall be approved in writing by medical director or issuing pharmacy.(g) An emergency medical technician-intermediate provider organization shall not do the following: (1) Operate an ambulance or other emergency medical service vehicle unless it is in full compliance with this article.(2) Transport any emergency patient or patient receiving advanced life support in any vehicle except an ambulance certified under IC 16-31.(h) Emergency medical technician-intermediates are prohibited from having in their possession, or maintained on board emergency response vehicles, any advanced life support equipment or supplies that have not been approved by the emergency medical technician-intermediate provider organization medical director.Indiana Emergency Medical Services Commission; 836 IAC 2-7.2-3; filed Feb 20, 2003, 8:00 a.m.: 26 IR 2356; filed Jun 11, 2004, 1:30 p.m.: 27 IR 3545; filed Jul 31, 2007, 10:01 a.m.: 20070829-IR-836060011FRA; readopted filed Jul 29, 2010, 8:07 a.m.: 20100825-IR-836100267RFAReadopted filed 10/31/2016, 1:48 p.m.: 20161130-IR-836160328RFAReadopted filed 11/28/2022, 2:51 p.m.: 20221228-IR-836220299RFAReadopted filed 7/24/2024, 3:48 p.m.: 20240821-IR-836230827RFA